Applicant Report

participants).
Date:
Place:
(SIGNATURE OF THE APPLICANT)
Name:
* Details of the course are on the website of the Institute or can be obtained from them through e-mail.
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 Part - II
To be completed by the authorized official of the Nominating Government/ Employer
I
on behalf of the Government of UZBEKISTAN certify that:
(a) I have examined the educational, professional and other certificates quoted by the nominee in Part-I of this form
and I am satisfied that they are authentic and relate to the nominee.
(b) I have gone through the medical certificates and X-ray reports produced by the nominee which state that he/she
is medically fit and free from any infectious disease and Yellow Fever and that having regard to his/her physical
and mental history there is no reason to indicate that the nominee is other than fit to undertake the journey to India
and to undergo training in India.
(c) The nominee has adequate knowledge of spoken and written English to enable him/her to follow the course of
training for which he/she is being nominated
(d) The nominee has not availed of ITEC training facilities earlier in India.
I nominate MS NASIBA PALVANNAZIROVA on behalf of the Government of UZBEKISTAN as employer.
Name of Nominating Authority:
Designation:
Address:
Signature
(With seal)
Date:
Place:
Name and Designation (in block letters)
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